Healthcare Provider Details

I. General information

NPI: 1043799828
Provider Name (Legal Business Name): DR. EMILY CATHERINE WARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2018
Last Update Date: 08/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 RUTLEDGE AVE
CHARLESTON SC
29425-8903
US

IV. Provider business mailing address

1918 PIPER DR
CHARLESTON SC
29407-6214
US

V. Phone/Fax

Practice location:
  • Phone: 803-223-3312
  • Fax:
Mailing address:
  • Phone: 803-223-3312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number37143
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: